Individual provider Active NPI

Gayle L Braunholtz, MD

  • Emergency Medicine Physician
  • Vail, CO
National Provider Identifier
1295952760
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
44873 Issued in CO
Practice address
181 West Meadow Drive
Vail, CO 81657
Phone
(970) 479-7225
NPI assigned
Apr 19, 2007
Last updated
Jan 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 44873 CO Primary

Addresses

Primary practice location

181 West Meadow Drive
Vail, CO 81657

Mailing address

27 Main Street, C301
Edwards, CO 81632
Phone (970) 569-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822000559 CO Practitioner - Emergency Medicine 4183716137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Colorado School of Medicine, Denver, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vail Valley Emergency Physicians PCGroup PAC ID 9830620459, 13 clinicians

Practice addresses (Care Compare)

180 S Frontage Rd W
Vail, CO 81657-5038
Phone (866) 247-3141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.38 of 100Reported as group
Quality
55.42
Promoting interoperability
96
Improvement activities
40
Cost
65.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44873COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vail Valley Emergency Physicians PC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients

Locations

1280 Village Rd
Beaver Creek, CO 81620
Phone (866) 488-4558

1280 Village Rd
#324C
Beaver Creek, CO 81620
Phone (970) 949-0800

180 S Frontage Rd W
Vail, CO 81657
Phone (866) 247-3141

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1295952760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MAIN STREET, C301",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "81632",
            "telephone_number": "970-569-3600",
            "fax_number": "970-569-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 WEST MEADOW DRIVE",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "81657",
            "telephone_number": "970-479-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUNHOLTZ",
        "first_name": "GAYLE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "44873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vail, CO

Sources for this page

Verify at the official NPI Registry.